Performance Physical Therapy & Sports Medicine, Inc in Colchester - Geriatrics
Performance Physical Therapy & Sports Medicine, Inc - NPI 1225105448
Performance Physical Therapy & Sports Medicine, Inc is a Geriatrics in Colchester, Connecticut. Performance Physical Therapy & Sports Medicine, Inc practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Performance Physical Therapy & Sports Medicine, Inc is 1225105448. The last update date is 2020-08-22.
Performance Physical Therapy & Sports Medicine, Inc's current location address is 171 Norwich Ave, Colchester, Connecticut. You can contact this provider via phone number 8605373014 and fax number 8605371420. The mailing address for Performance Physical Therapy & Sports Medicine, Inc is 171 Norwich Ave, Colchester, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Performance Physical Therapy & Sports Medicine, Inc |
|---|---|
| Address | 171 Norwich Ave, Colchester, Connecticut |
| Phone Number | 8605373014 |
| Fax Number | 8605371420 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dipasquale Christopher |
| Credentials | PT |
| Telephone Number | 8605373014 |
NPI Number Detail
| NPI Number | 1225105448 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 171 Norwich Ave |
|---|---|
| City | Colchester |
| State | Connecticut (CT) |
| Post Code | 64151274 |
| Phone Number | 8605373014 |
| Fax Number | 8605371420 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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What is the unique 10-digit identification code issued to Performance Physical Therapy & Sports Medicine, Inc by the Centers for Medicare & Medicaid Services?
The Performance Physical Therapy & Sports Medicine, Inc has been assigned the NPI (National Provider Identifier) 1225105448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Performance Physical Therapy & Sports Medicine, Inc's physical address?
The Performance Physical Therapy & Sports Medicine, Inc is physically located at 171 Norwich Ave, in the city of Colchester, CT, with the postal code 64151274.
What is the area of specialization for Performance Physical Therapy & Sports Medicine, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Performance Physical Therapy & Sports Medicine, Inc is Geriatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251G0304X.
When did Performance Physical Therapy & Sports Medicine, Inc receive its 1225105448 assignment?
The Performance Physical Therapy & Sports Medicine, Inc was assigned its 1225105448 on 2006-11-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Performance Physical Therapy & Sports Medicine, Inc last refreshed?
The information related to the Performance Physical Therapy & Sports Medicine, Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.